Vida Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR007819 Issued in GA

Legal business name

VIDA CHIROPRACTIC CENTER

Practice address

611 Holcomb Bridge Rd Ste a
Roswell, GA 30076-1769

Phone

(678) 451-8871

NPI assigned

May 20, 2010

Last updated

May 20, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mariela B Perosino, D.C.

Title

Office Manager/Registered Agent

Phone

(678) 451-8871

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andres Jimenez Acosta, DC

  • Chiropractor
  • Roswell, GA
  • NPI 1346543691
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1528387214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611-A HOLCOMB BRIDGE RD.",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751768",
            "telephone_number": "678-451-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 HOLCOMB BRIDGE RD STE A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761769",
            "telephone_number": "678-451-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "PEROSINO",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER/REGISTERED AGENT",
        "authorized_official_telephone_number": "678-451-8871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veriswound
• Vibrant ABA of Georgia LLC
• Mitchael Lee Vickers, CRNA
• Bakari Eugene Vickerson, M.D.
• Vida Brain Center
• Tarreonne Vilera, RBT
• Desiree Villadolid, M.D.
• Village Podiatry Group, L.L.C.
• Village Podiatry Group, LLC.
• Village Podiatry Group, LLC.

• Chiropractor in Roswell, GA
• Providers in Roswell, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.